Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.85 / $958.85 / $3,511.00	Facility		$958.85	$958.85	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.35 / $958.85 / $2,346.79	Professional		$807.35	$958.85	$2,346.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,669.82 / $2,173.69 / $2,717.11	Professional		$1,669.82	$2,173.69	$2,717.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,259.20 / $1,655.00 / $2,523.73	Facility		$1,259.20	$1,655.00	$2,523.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,031.64 / $1,969.49 / $7,513.81	Professional		$1,031.64	$1,969.49	$7,513.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,450.97 / $2,568.77 / $10,457.19	Facility		$1,450.97	$2,568.77	$10,457.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,450.97 / $2,149.92 / $2,606.44	Professional		$1,450.97	$2,149.92	$2,606.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,197.07 / $1,624.40 / $1,910.94	Professional		$1,197.07	$1,624.40	$1,910.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,069.16 / $1,875.70 / $2,651.40	Professional		$1,069.16	$1,875.70	$2,651.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,895.70 / $2,319.50 / $2,319.50	Professional		$1,895.70	$2,319.50	$2,319.50